Organization
LIVE LONG WELL CARE ENTERPRISES LLC
Active
Parent organization
LIVE LONG WELL CARE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIVE LONG WELL CARE, LLC
Authorized official
DONALD O THOMPSON JR. (MANAGER)
(704) 246-1620
Entity
Organization
Contact information
Practice address
10706 SIKES PL, SUITE 200, CHARLOTTE, NC 28277-8015
(704) 246-1620
(704) 246-1621
Mailing address
10706 SIKES PL, SUITE 200, CHARLOTTE, NC 28277-8015
(704) 246-1620
(704) 246-1621
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
299993376
FL
Other
Enumeration date
05/16/2011
Last updated
05/16/2011
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